Nuangola Centennial Order Form

Show your spirit!

ITEM SIZE QNTY COST TOTAL

Short Sleeved T Shirts:

Adult S to XL - $10.00 _______ ________ _________ $ ___________

Adult XXL, XXXL $14.00 _______ ________ _________ $ ___________

Youth XS to XL $8.00 _______ ________ _________ $ ___________

Long Sleeved T Shirts:

Adult S to XL - $12.00 _______ ________ _________ $ ___________

Adult 2XL, 3XL $16.00 _______ ________ _________ $ ___________

Youth XS to XL $10.00 _______ ________ _________ $ ___________

Sweat Shirts:

Adult S to XL - $16.00 _______ ________ _________ $ ___________

Adult 2XL, 3XL $18.00 _______ ________ _________ $ ___________

Youth XS to XL $12.00 _______ ________ _________ $ ___________

Baseball Hats:

Adult Adjustable $5.00 _______ ________ _________ $ ___________

Youth $5.00 _______ ________ _________ $ ___________

Please add $5 for postage if you wish to have your order mailed. $ ___________

ORDER TOTAL Ck # _____________ $ ____________________

Please return the completed form and your check made payable to the

“Nuangola Centennial Fund,” 5150 Nuangola Road, Nuangola PA 18707

Name: _____________________________________________________________________

Address: ___________________________________________________________________

Phone: _____________________________________________________________________